Organization
COLLIER DRUG STORES, INC.
Active
Other names
Collier Drug-Centerton
Organization subpart
No
Provider details
NPI number
Authorized official
CARL MELVIN COLLIER (OWNER)
(479) 442-6262
Entity
Organization
Contact information
Practice address
991 W CENTERTON BLVD, CENTERTON, AR 72719-8707
(479) 795-8199
(479) 795-8196
Mailing address
PO BOX 1085, FAYETTEVILLE, AR 72702
(479) 442-6262
(479) 521-9111
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148779407
—
AR
Enumeration date
09/17/2005
Last updated
02/20/2024
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